Headache disability among adolescents: a student population-based study.
Headache
; 50(2): 210-8, 2010 Feb.
Article
em En
| MEDLINE
| ID: mdl-19804389
ABSTRACT
OBJECTIVE:
To examine the extent and to identify the relevant predictors of headache disabilities in adolescents.BACKGROUND:
Headaches are common in adolescents but their impact and related factors have not been extensively studied in adolescent communities.METHOD:
We recruited and surveyed 3963 students aged 13-15 from 3 middle schools using self-administered questionnaires. The questionnaires were used to make 3 assessments (1) headaches were diagnosed using a validated headache questionnaire; (2) headache disabilities were evaluated using the 6-question Pediatric Migraine Disability Assessment; (3) depression was measured using the Adolescent Depression Inventory.RESULTS:
The student response rate was 93%. In total, 484 students (12.2%) had migraines with or without auras, 444 (11.2%) had probable migraines, and 1092 (27.6%) had tension-type headaches. The students with migraine had the highest Pediatric Migraine Disability Assessment scores (10.7 +/- 20.0); whereas, the students with tension-type headaches had the lowest scores (2.0 +/- 4.4). Logistic regression analyses indicated that there were a number of independent predictors for moderate to severe headache-related disability (Pediatric Migraine Disability Assessment score > or =31), including a migraine or probable migraine diagnosis, a higher depression score, severe headache intensity, and frequent headaches.CONCLUSIONS:
The Pediatric Migraine Disability Assessment provides a simple tool to measure the impact of headaches in adolescents. Adolescents with migraine headaches suffered the greatest level of disability. Higher depression scores were associated with more severe headache-related disabilities in adolescents, independent of headache frequency and severity.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Inquéritos e Questionários
/
Inquéritos Epidemiológicos
/
Transtornos da Cefaleia
/
Avaliação da Deficiência
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Headache
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Taiwan